Hi Steve,
Just had another patient recently – he claimed to have tendon reattachment 10 years ago, unsure if the rotator cuff or biceps tendon but presented with pain after flicking away a leaf.
There was no biceps seen in the rotator cuff interval so I thought the tendon was torn from the proximal end. When I did the image of the biceps muscle belly however, there was no atrophy. There was what seemed to be haematoma in the proximal vinculum.
What I was suspecting is that he had a past biceps tenotomy/tenodesis within an intact vinculum and haematoma associated with the patient presentation?
What are your thoughts? Also the picture I labelled, is that the typical appearance of what a biceps reattachment site is?
Thanks!